Evidence map›Paper›PMID 40193043›Full record

ArticleOncology and therapy2025

Cost-Effectiveness of Elranatamab Versus Current Therapies for the Management of Patients with Triple-Class Exposed, Relapsed and Refractory Multiple Myeloma, Including Other Bispecific and Physician's Choice of Treatment in Spain.

Cristina Encinas, Virginia Lozano, Patrick Hlavacek, Julia Llinares, Sofía Toribio-Castelló, David Carcedo, Jordi Asís-Montalt, Joaquín Martínez-López

Abstract read
In one paragraph

Article in Oncology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Targets for CAR Therapy in Multiple Myeloma.International journal of molecular sciences · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Cristina EncinasHospital General Universitario Gregorio Marañón (HGUGM), IiSGM, Madrid, Spain.ORCID http://orcid.org/0000-0002-9001-9754
Virginia LozanoPfizer SLU, Madrid, Spain.
Patrick HlavacekPfizer Inc, New York, NY, USA.ORCID http://orcid.org/0000-0002-4752-3218
Julia LlinaresPfizer SLU, Madrid, Spain.
Sofía Toribio-CastellóPfizer SLU, Madrid, Spain.ORCID http://orcid.org/0000-0001-8879-3057
David CarcedoHygeia Consulting, Paseo de la Castellana, 18, 7th Floor, 28046, Madrid, Spain. david.carcedo@hygeiaconsulting.com.ORCID http://orcid.org/0000-0002-2809-7399
Jordi Asís-MontaltHygeia Consulting, Paseo de la Castellana, 18, 7th Floor, 28046, Madrid, Spain.ORCID http://orcid.org/0009-0001-0004-6469
Joaquín Martínez-LópezHospital Universitario 12 de Octubre (i+12), CNIO, University Complutense, Madrid, Spain.ORCID http://orcid.org/0000-0001-7908-0063

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionElranatamab is a bispecific anti-B-cell maturation antigen (BCMA) and -CD3 antibody recently approved in Spain for the treatment of adult patients with triple-class exposed relapsed and refractory multiple myeloma (TCE-RRMM). The objective of this analysis was to assess its cost-effectiveness versus teclistamab, another recently approved bispecific antibody, and a treatment basket representing current physician's choice of treatment (PCT).

methodsA partitioned survival model with three health states was adapted to the Spanish setting. Efficacy data were obtained from the MagnetisMM-3 clinical trial for elranatamab, and from a matching adjusted indirect comparison (MAIC) of elranatamab versus teclistamab and PCT. Utility values were gathered from the MagnetisMM-3 trial for each health state. Only direct costs (2024 €) were considered. Deterministic and probabilistic sensitivity analyses were conducted to assess the uncertainty of the variables and determine the robustness of the results.

resultsTreatment with elranatamab is cost-effective compared to PCT, generating 0.92 additional quality-adjusted life years (QALYs) and an additional €17,860 over a lifetime horizon, yielding an incremental cost-effectiveness ratio (ICER) of €24,754/QALY. Elranatamab is dominant (less costly, more effective) versus teclistamab, providing 0.60 additional QALYs and generating cost savings (- €101,026). Sensitivity analyses confirmed the direction of the base case results.

conclusionElranatamab is a cost-effective treatment versus PCT and dominant over teclistamab for the treatment of adult patients with TCE-RRMM in the Spanish setting.

Indexed as

Cost-effectivenessElranatamabMultiple myeloma

Identifiers

PMID40193043
PMCPMC12130381

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.